Intersection of https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALCobertura and https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALCobertura

This is the set of resources that conform to both MINSAL Cobertura de Salud del Paciente (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALCobertura) and MINSAL Cobertura de Salud del Paciente (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALCobertura).

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage C0..*Insurance or medical plan or a payment agreement
Constraints: cov-cls-01, cov-cls-02
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
Additional BindingsPurpose
??Max Binding
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for the coverage
... status ?!SΣ1..1codeactive | cancelled | draft | entered-in-error
Binding: ?? (required): A code specifying the state of the resource instance.
... type SΣ1..1CodeableConceptTipo de seguro. (FONASA, ISAPRE u Otros)
Binding: ?? (required)
... policyHolder SΣ1..1Reference(MINSAL Paciente | #sd-MINSALPaciente-MINSALPaciente)Propietario de la póliza
... subscriber Σ0..1Reference(Patient | RelatedPerson)Subscriber to the policy
... subscriberId Σ0..1stringID assigned to the subscriber
... beneficiary SΣ1..1Reference(MINSAL Paciente | #sd-MINSALPaciente-MINSALPaciente)Referencia al beneficiario del plan de salud
... dependent Σ0..1stringDependent number
... relationship 0..1CodeableConceptBeneficiary relationship to the subscriber
Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
... period SΣ0..1PeriodDesde cuando es beneficiario. En caso de finalizar el contrato debe incluirse el "end".
... payor SΣ1..1Reference(CL Organización | #sd-CoreOrganizacionCl-CoreOrganizacionCl)Entidad que paga el seguro. (FONASA, Alguna Isapre u otros)
... class S0..*BackboneElementAdditional coverage classifications
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ1..1CodeableConceptType of class such as 'group' or 'plan'
Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc.
.... value Σ1..1stringValue associated with the type
.... name Σ0..1stringHuman readable description of the type and value
... order Σ0..1positiveIntRelative order of the coverage
... network Σ0..1stringInsurer network
... costToBeneficiary 0..*BackboneElementPatient payments for services/products
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..1CodeableConceptCost category
Binding: ?? (extensible): The types of services to which patient copayments are specified.
.... value[x] Σ1..1The amount or percentage due from the beneficiary
..... valueQuantityQuantity(SimpleQuantity | ?gen-e2?)
..... valueMoneyMoney(SimpleQuantity)
.... exception 0..*BackboneElementExceptions for patient payments
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type Σ1..1CodeableConceptException category
Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays.
..... period Σ0..1PeriodThe effective period of the exception
... subrogation 0..1booleanReimbursement to insurer
... contract 0..*Reference(Contract)Contract details

doco Documentation for this format